时效性激励对胃癌患者心理状态、自我效能及睡眠质量的影响

Effects of timeliness motivation on psychological status,self-efficacy and sleep quality of gastric cancer patients

目的:探讨时效性激励对胃癌患者心理状态、自我效能及睡眠质量的影响。方法:选取2016年1月至2018年12月期间某院收治的84例胃癌患者,利用区组随机分组法(区组长度为4)按1:1的比例分为对照组与观察组,两组患者各42例。对照组实施常规干预,观察组则在对照组基础上进行时效性激励干预,分析比较干预前后两组患者的癌因性疲乏、焦虑、抑郁、自我效能、睡眠质量、生活质量等情况。结果:干预后,观察组躯体疲乏、情感疲乏、认知疲乏、CFS总分均低于对照组(t=-2.562,-4.853,-6.314,-6.704;P<0.05);干预后,观察组SAS、SDS评分均低于对照组(t=-3.175,-3.044;P<0.05),观察组GSES评分明显高于对照组(t=5.644,P<0.05);干预后,观察组PSQI各维度中主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及其总分均明显低于对照组(t=-5.914,-3.735,-4.083,-3.889,-2.968,-2.787,-5.739,-11.784;P<0.05);干预后,观察组8个维度(主观躯体功能、躯体角色、肢体疼痛、总体健康、活力、社会功能、情绪角色、精神健康)评分均高于对照组(t=5.804,8.909,5.143,5.569,4.019,9.332,5.735,4.409;P<0.05)。结论:时效性激励可有效改善胃癌患者的癌因性疲乏,缓解不良的负性情绪,提高其自我效能感,提高其睡眠质量和生活质量。

Objective:To explore effects of timeliness motivation nursing mode on psychological status,self-efficacy and sleep quality of gastric cancer patients.Methods:Eighty-four patients with gastric cancer treated in our hospital from January 2016 to December 2018 were selected.Using the block random grouping method(the length of the block is 4),the patients were divided into control group(n=42)and observation group(n=42)according to the proportion of 1:1.The control group was given routine interventions.On this basis,observation group was given timeliness motivation intervention.The scores of cancer fatigue scale(CFS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),general self-efficacy scale(GSES),Pittsburgh Sleep Quality Index(PSQI)and short form 36 health survey(SF-36)before and after intervention were compared and analyzed between the two groups.Results:After intervention,the total score of the physical fatigue,emotional fatigue,cognitive fatigue and CFS in the observation group were significantly lower than those in the control group(t=-2.562,-4.853,-6.314,-6.704;P<0.05).After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(t=-3.175,-3.044;P<0.05),while the score of GSES in the observation group was higher than that in the control group(t=5.644,P<0.05).After intervention,the total score of the subjective sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drugs,daytime dysfunction score and PSQI in the observation group were significantly lower than those in the control group(t=-5.914,-3.735,-4.083,-3.889,-2.968,-2.787,-5.739,-11.784;P<0.05).After intervention,the scores of 8 dimensions(subjective physical function,physical role,limb pain,general health,vitality,social function,emotional role,mental health)in the observation group were higher than those in the control group(t=5.804,8.909,5.143,5.569,4.019,9.332,5.735,4.409;P<0.05).Conclusion:Timeliness incentives can effectively improve cancer-related fatigue,alleviate negative emotions,improve their self-efficacy,and improve their sleep quality and quality of life in patients with gastric cancer.